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CHALLAN FORM- 01 (CASH VOUCHER)

CHALLAN FORM- 01 (CASH VOUCHER)


BRANCH COPY

CANDIDATEs COPY

BIHAR GRAMIN BANK

BIHAR GRAMIN BANK

Application Fee Details


Recruitment of Office Assistant (M) / Officer JMGS-I

Application Fee Details


Recruitment of Office Assistant (M) / Officer JMGS-I

Account No.

38010210000356
BIHAR GRAMIN BANK
BEGUSARAI BRANCH

Account No.

Candidates Name: Mr./Mrs./Kum.


Category* SC/ST/PWD Rs 20/OBC/GEN: Application Fee &
Postage Rs. 100/Date of Birth :
Bank Branch Name:
Branch Code No.#
Transaction No.- .#
Deposit Date:
Application Fee/Postage Rs.
(Rupees..)only

38010210000356
BIHAR GRAMIN BANK
BEGUSARAI BRANCH

Candidates Name: Mr./Mrs./Kum.


Category* SC/ST/PWD Rs 20/OBC/GEN: Application Fee &
Postage Rs. 100/Date of Birth :
Bank Branch Name:
Branch Code No.#
Tranctionl No.#
Deposit Date:
Application Fee/Postage Rs.
(Rupees..)only

Signature of Depositor

Authorized Signatory

Signature of Depositor

Authorized Signatory

Address

Phone/Mobi. No.

Stamp

Address

Phone/Mobi. No.

Stamp

* Tick whichever is applicable


# Fee receiving branch is advised to write the Transaction No and branch
code no. above invariably.

* Tick whichever is applicable


# Fee receiving branch is advised to write the Deposit Transaction No
and branch code no. above invariably.

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